Keith Alan Mihaly, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

046007845 Issued in IL

Practice address

400 W Dundee Rd
Suite 14-15
Buffalo Grove, IL 60089-3415

Phone

(847) 459-9119

Fax

(847) 459-8115

NPI assigned

Apr 6, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Alan Optical PLLCGroup PAC ID 5597837641, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Alan Optical PLLC

  • Optometrist
  • Buffalo Grove, IL
  • NPI 1346377991
  Medicare reassignment Care Compare group NPD
• United Eye Care Providers, LLC

  • Optometrist
  • Lemont, IL
  • NPI 1013070093
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214956800000",
    "number": "1154384709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W DUNDEE RD",
            "address_2": "SUITE 14-15",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600893415",
            "telephone_number": "847-459-9119",
            "fax_number": "847-459-8115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W DUNDEE RD",
            "address_2": "SUITE 14-15",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600893415",
            "telephone_number": "847-459-9119",
            "fax_number": "847-459-8115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIHALY",
        "first_name": "KEITH",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2008-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046007845",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC002198",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "18002176A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "0410048631",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5303296",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD IL",
            "identifier": "1605476",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "363614738",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "363614738",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael S Perper DDS LTD
• Michalczyk Orthodontics P.C.
• Elizabeth R Michalczyk
• Margaret Michalska, M.D.
• Midwest Cosmetic Institute
• Wojciech Jacek Mika, DPT
• Mileykovsky Ruvin
• Milica Novakovic DMD Ms PC
• Alan Nathan Miller, M.D.
• Jacqueline Faith Miller, RBT

• Optometrist in Buffalo Grove, IL
• Providers in Buffalo Grove, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.